Active NPI
Vicki Lynne Scotti, DMD
- General Practice Dentistry
- Sicklerville, NJ
National Provider Identifier
1073695748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02186900
- Practice address
- 813 New Brooklyn Erial Rd
Suite 1
Sicklerville, NJ 08081-3278 - Phone
- (856) 784-9774
- Fax
- (856) 691-3370
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02186900 | NJ | Primary |
Addresses
Primary practice location
813 New Brooklyn Erial Rd
Suite 1
Sicklerville, NJ 08081-3278
Mailing address
813 New Brooklyn Erial Rd
Suite 1
Sicklerville, NJ 08081-3278
Phone (856) 784-9774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02186900 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1073695748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 NEW BROOKLYN ERIAL RD",
"address_2": "SUITE 1",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080813278",
"telephone_number": "856-784-9774",
"fax_number": "856-691-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 NEW BROOKLYN ERIAL RD",
"address_2": "SUITE 1",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080813278",
"telephone_number": "856-784-9774",
"fax_number": "856-691-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTTI",
"first_name": "VICKI",
"middle_name": "LYNNE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02186900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.